National Provider Identifier Database

LILLIAN DAVENPORT PARKER
Psychiatric/Mental Health, Child & Adolescent


Contact Information

LILLIAN DAVENPORT PARKER
3629 WINDMILL RD
ELLENWOOD, GA30294-2106
Phone: 770-987-1881
Fax:
Website:
Specialty Taxonomy Code
* Psychiatric/Mental Health, Child & Adolescent 364SP0807X

* Indicates primary specialty

NPI Profile & details for LILLIAN DAVENPORT PARKER

NPI Number 1336298264
Legal business name
LBN
LILLIAN DAVENPORT PARKER
Authorized official LILLIAN PARKER - (CLINICAL NURSE SPECIALIST)
Entity Organization
Organization subpart No
Enumeration date 01/09/2007
Last updated 06/20/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: RN052630 CNSPMH

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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